| Jefferson Center For Mental Health | |
|
12751 W 56th Pl Arvada CO 80002-1327 | |
| (303) 424-4136 | |
| (303) 424-4125 |
| Full Name | Jefferson Center For Mental Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12751 W 56th Pl, Arvada, Colorado |
| Authorized Official Name and Position | David A Goff (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3034325164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Center For Mental Health 4851 Independence St Ste 200 Wheat Ridge CO 80033-6712 Ph: (303) 425-0300 | Jefferson Center For Mental Health 12751 W 56th Pl Arvada CO 80002-1327 Ph: (303) 424-4136 |
| NPI Number | 1760070759 |
|---|---|
| Provider Enumeration Date | 01/05/2021 |
| Last Update Date | 01/05/2021 |
| Certification Date | 12/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760070759 | NPI | - | NPPES |
| 49175238 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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